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阿司匹林敏感型哮喘患者对酒石黄的敏感性和耐受性

Sensitivity and tolerance to tartrazine in aspirin-sensitive asthmatics.

作者信息

Grzelewska-Rzymowska I, Szmidt M, Kowalski M L, Roźniecki J

出版信息

Allergol Immunopathol (Madr). 1986 Jan-Feb;14(1):31-6.

PMID:3962814
Abstract

The occurrence of sensitivity to tartrazine was examined in 51 patients with asthma and aspirin sensitivity. All patients underwent oral challenge tests with aspirin and tartrazine. Sensitivity to tartrazine was found in 16 i.e. 31.4% of tested asthmatics. The symptoms of sensitivity to tartrazine were similar to those of aspirin. Tolerance to tartrazine was induced in 5 aspirin and tartrazine sensitive asthmatics. Sensitivity to both substances was manifested in these 5 persons as dyspnea but 2 of them had additional extrabronchial symptoms. A good tolerance of 40 mg tartrazine was achieved in all the challenged patients who did not refer any dyspnea and extrabronchial symptoms. It was also proven that, being in the aspirin tolerance state the patients could be given tartrazine with no sensitivity symptoms. The authors think that the possibility of inducing tartrazine and aspirin tolerance, as well as the course of sensitivity reaction to both substances, both point to a similar pathogenetic background.

摘要

对51例哮喘且对阿司匹林敏感的患者进行了酒石黄敏感性的研究。所有患者均接受了阿司匹林和酒石黄的口服激发试验。在16例(即31.4%的受试哮喘患者)中发现了对酒石黄的敏感性。对酒石黄敏感的症状与对阿司匹林敏感的症状相似。在5例对阿司匹林和酒石黄敏感的哮喘患者中诱导出了对酒石黄的耐受性。这5例患者对两种物质的敏感性均表现为呼吸困难,但其中2例还有其他支气管外症状。所有接受激发试验且未出现任何呼吸困难和支气管外症状的患者对40毫克酒石黄均有良好的耐受性。还证实,处于阿司匹林耐受状态的患者服用酒石黄时不会出现敏感症状。作者认为,诱导酒石黄和阿司匹林耐受性的可能性以及对两种物质敏感反应的过程均表明存在相似的发病机制背景。

相似文献

1
Sensitivity and tolerance to tartrazine in aspirin-sensitive asthmatics.阿司匹林敏感型哮喘患者对酒石黄的敏感性和耐受性
Allergol Immunopathol (Madr). 1986 Jan-Feb;14(1):31-6.
2
Decreased sensitivity to tartrazine after aspirin desensitization in an asthmatic patient intolerant to both aspirin and tartrazine.
Ann Allergy. 1984 May;52(5):368-70.
3
Asthma with aspirin intolerance. Clinical entity or coincidence of nonspecific bronchial hyperreactivity and aspirin intolerance.阿司匹林不耐受性哮喘。是一种临床实体,还是非特异性支气管高反应性与阿司匹林不耐受性的巧合。
Allergol Immunopathol (Madr). 1981 Nov-Dec;9(6):533-8.
4
[Pseudo-crossreactivity between aspirin and tartrazine].[阿司匹林与酒石黄之间的假交叉反应性]
G Ital Dermatol Venereol. 1988 Apr;123(4):177-80.
5
Tartrazine (FD & C yellow #5) anaphylaxis: a case report.
Ann Allergy. 1981 Feb;46(2):81-2.
6
Intolerance to tartrazine in aspirin-induced asthma: results of a multicenter study.阿司匹林诱发哮喘患者对酒石黄的不耐受性:一项多中心研究的结果
Respiration. 1988;53(1):20-3. doi: 10.1159/000195391.
7
[Asthmatic patients with hypersensitivity for aspirin, benzoic acid and tartrazine].对阿司匹林、苯甲酸和酒石黄过敏的哮喘患者
Bull Int Union Tuberc. 1976;51(1 Pt 2):515-8.
8
[Tartrazine hypersensitivity in patients with asthma and aspirin hypersensitivity].
Pol Arch Med Wewn. 1984 Nov;72(5):237-42.
9
Tartrazine: a potentially hazardous dye in Canadian drugs.酒石黄:加拿大药品中一种潜在有害的染料。
Can Med Assoc J. 1982 Apr 15;126(8):910-4.
10
Aspirin "desensitization" in patients with aspirin-induced urticaria and angioedema.阿司匹林诱发的荨麻疹和血管性水肿患者的阿司匹林“脱敏”
Allergol Immunopathol (Madr). 1988 Sep-Oct;16(5):305-8.

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